Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Russell Alan Bergum, DO

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1669400024

Russell Alan Bergum, DO is a Family Practice in Rochester, Minnesota. Qualified in 1999, 27 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
27
Licensed in
MN
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2560 2nd St SW Ste 120
Rochester, MN 55902-4363
Phone: (507) 361-0400
Fax: (866) 371-6710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6151 Thornton Ave Ste 200, Des Moines, IA 50321-2413 — (515) 421-4090

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 42602 (MN)

Record details

NPI number1669400024
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address2560 2nd St Sw Ste 120, Rochester, MN 55902-4363

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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